<div class="row">
    <div class="col-xs-12">
        <form id="form-edit" class="form-horizontal">
            <input type="hidden" name="id">
            <div class="form-group">
                <label class="col-sm-3 control-label no-padding-right"> 平台类型: </label>
                <div class="col-sm-5">
                    <select class="form-control col-sm-5" name="type">
                    </select>
                </div>
            </div>
            <div class="space-4"></div>
            <div class="form-group">
                <label class="col-sm-3 control-label no-padding-right"> 平台名称: </label>
                <div class="col-sm-5">
                    <input type="text" class="form-control col-sm-5" name="name"/>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label no-padding-right"> 栏目样式: </label>
                <div class="col-sm-5">
                    <select class="form-control col-sm-5" name="rolesid">
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label no-padding-right">所属区域: </label>
                <div class="col-sm-7" id="edit-area">
                    <select class="form-control  width-w-90" name="province">

                    </select>
                    <select class="form-control  width-w-90" name="city">

                    </select>
                    <select class="form-control  width-w-90" name="area">

                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label no-padding-right">平台状态: </label>
                <div class="col-sm-5">
                    <select class="form-control col-sm-5" name="status">
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-offset-2 col-sm-7 control-label no-padding-right">(提示：试用期3个月，试用期过后，将手动关闭 )</label>
            </div>
        </form>

    </div>
</div>


